HomeMy WebLinkAbout1320 BENNETT RD - DISCLOSURES - 8/25/2004 (6)For Collins Residential Ene;Fy Code
MECHtirtl^AL DISCLOSURE FORM
mcndr-_Z)as—7/10196
Job Address:
General contractor:
Mechanical contractor:
the Luddintg & zoning dept, _:i:
Community Planning ..sad Environmental Services
231 N. College Ave., P.O. Box'-,--', 'Fort Collirs, CO 80522
Voice: 970 221 6760 FAX: 977 =4 6134
INSTRUCTIONS
This disciosure form is to be signec by the mec; ;anical contractor or representative of the _ce-ierai contractor.
Please :ype or print, except for the signature.
If there are multiple systems sewir•g any function, make multiple entries to describe them.
One c:ov of this form must be proviced to the Building and Zcning -Department prior to the C.
One copy of this form must be maae available to the original home buyer.
A. Space heating system
JInput
Location Fuel
Toe%
Manufacturer
capacity
Model # , kStuh or kW
AFUE or
1 l4spp.,
B. Space cooling system
Location Fuel TvDe
,anufacturer
Input capacity
Model #--, kBtuh or kW
SEER
ten
C__1Nater heating -system -
Input capacity Energy Storage
Location Fuel Tvoe Manufacturer Model # kStuh or kW I Factor I volume
Certification
I/We cent fy that the above -listed equipment (including ducts ant piping) was installed in the Duiiding at the above locations
in confo7manoe with the'require7-en:s of the Fo-t Collins Reside; tiai Bnergy Code and Mech_nical Code; and further, that
sucC eq—,ipment was installed in accordance with manufacturers' Instructions.
Person Cert; ,ing Job:
�3 A r k e r
Signature:
Business Firm: Northern Cc ode Ai r
Address: 812 Stoc,-- =.ve
Fort COI;; Co Phone: -,-223-8873